Tyler Ptacek, MD
Interventional Pain Medicine · Rapid City, SDNPI 1225324791
Payments from drug & device makers
Across 505 payments — averaging $246.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genesys Orthopedics Systems, L.L.C.$70K
- Nevro Corp.$23K
- Relievant Medsystems, Inc.$10K
- Medtronic$6K
- Abbott$5K
- Vertos Medical, Inc.$2K
- plus $9K from 23 others
Across 4 payments — averaging $503.75 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genesys Orthopedics Systems, L.L.C.$2K
What the payments were for
- Consulting fees$66,06053%
- Speaking & faculty fees$7,2106%
- Travel & lodging$29,58024%
- Food & beverage$17,98414%
- Education$1010%
- Gifts$3,6793%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Genesys Orthopedics Systems, L.L.C. | 69 | $70,328 |
| Nevro Corp. | 102 | $22,882 |
| Relievant Medsystems, Inc. | 28 | $9,728 |
| Medtronic(2 entities) | 90 | $5,629 |
| Abbott | 26 | $5,476 |
| Vertos Medical, Inc. | 21 | $1,952 |
| Spinal Simplicity, LLC | 9 | $1,570 |
| Saluda Medical Americas, Inc. | 12 | $1,241 |
| Vertiflex, Inc. | 6 | $1,088 |
| AbbVie(2 entities) | 52 | $900 |
| Merit Medical Systems Inc | 2 | $700 |
| Boston Scientific | 21 | $681 |
| MML US, Inc. | 7 | $543 |
| Globus Medical | 16 | $437 |
| Tersera Therapeutics LLC | 9 | $299 |
| Si-bone, Inc. | 5 | $254 |
| Pacira Pharmaceuticals Incorporated | 9 | $224 |
| Flowonix Medical Incorporated | 1 | $186 |
| SPR Therapeutics, Inc | 1 | $101 |
| Pfizer | 4 | $82 |
| Vertex | 4 | $74 |
| Stimwave Technologies Incorporated | 1 | $69 |
| Nalu Medical, Inc. | 4 | $57 |
| Regeneron Healthcare Solutions, Inc. | 1 | $26 |
| Averitas Pharma Inc. | 1 | $24 |
| Lundbeck LLC | 1 | $21 |
| Radius Health, Inc. | 1 | $16 |
| Daiichi Sankyo Inc. | 1 | $16 |
| Caerus Corp. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SACROILIAC JOINT FUSION SYSTEM$113,176
- Intracept$17,721
- Senza$16,262
- PROCLAIM$4,996
- Omnia$3,484
- SYNCHROMEDII$1,863
- HA MINUTEMAN G3-R$1,445
- mild Device Kit$1,185
- INTELLIS ADAPTIVESTIM$972
- Superion ISS$914
- Evoke$798
- Senza Spinal Cord Stimulation System$738
- STAR Tumor Ablation System$350
- ReActiv8$325
- VANTA ADAPTIVESTIM$200
- Prometra II$186
- INTERSTIM$139
- SUPERION$125
- SYNCHROMED$101
- SPRINT PNS System$101
How this compares
Too few interventional pain medicine providers in South Dakotato place this figure against a meaningful peer group, so we don't.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| BelbucaBuprenorphine Hcl | 12 | $10,465 |
| Buprenorphine | 32 | $9,564 |
| MovantikNaloxegol Oxalate | 17 | $6,685 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 201 | $2,775 |
| Gabapentin | 154 | $1,890 |
| Pregabalin | 73 | $1,609 |
| Baclofen | 93 | $1,196 |
| Morphine Sulfate | 24 | $813 |
| Tizanidine Hcl | 108 | $700 |
| Tramadol Hcl | 85 | $588 |
| Duloxetine Hcl | 41 | $534 |
| Topiramate | 34 | $426 |
| Cyclobenzaprine Hcl | 46 | $315 |
| Hydromorphone Hcl | 19 | $286 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 14 | $268 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Rapid City
- Austin BeckWatertown$13K
- Andrew CottinghamFort Meade$990
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.